The Heart of START
The acronym PERMA represents these five elements of well-being.
Positive emotion, Engagement, Relationships, Meaning, Accomplishment
Outreach falls under this level of intervention in the START model.
Secondary intervention
These are the required timelines for completing and updating the CSCPIP.
Within 60 days from enrollment and at least annually, following a crisis event, or when clinically indicated
The START plan is due within this timeframe and updated at this frequency.
Within 90 days of enrollment and then quarterly
This START tool is used to define roles and collaborations between partners.
Linkage Agreements
This principle focuses on “what’s strong” instead of “what’s wrong.”
Strength-Based Practice
When a coordinator only engages providers during a crisis, this key outreach principle is missed.
Proactive engagement
Stage 3 intervention in the CSCPIP should primarily focus on this.
Safety
When a person’s level of risk is assessed as high on the START plan, coordinators should provide contact at this frequency.
Weekly
This clinical practice provides an in-depth clinical review.
Enhanced Clinical Review
This START guiding principle is in jeopardy when a provider dismisses a person’s worries.
Trauma-Informed Care
START emphasizes this approach over siloed or individual-only interventions.
Systemic approach
The CSCPIP should reflect which START guiding principles.
All START guiding principles
Assessing both strengths and needs is important because it does this.
It improves the effectiveness of interventions and overall wellbeing
After a crisis, follow-up should occur within this timeframe.
Within 24 hours
Addressing only one biopsychosocial (BPS) factor is ineffective for this reason.
Because all factors interact and influence each other
Name two types of outreach activities a START Coordinator may provide.
Planned START assessment, training/education, CSCPIP development, review, or training, post crisis follow-up, resource referral discussion, person-centered meeting, clinical review/info sharing, CET/CSE follow-up and action planning, facilitating discharge, attending outpatient appointment, coaching activities
Information and strategies in the CSCPIP must be individualized and based on these things.
Assessment findings, outreach, crisis response, consultation, evidence-informed decision-making
Missing or incomplete assessments can lead to repeated crises for this reason.
Interventions may not address the underlying cause
This system provides data to support evidence-informed practices.
SIRS
This is a likely outcome when cultural needs are ignored.
Reduced effectiveness of interventions and decreased trust
Outreach supports long-term stability by doing this, even in the absence of crises.
Prevent future crises by strengthening system readiness, communication, collaboration, and proactive planning.
An effective CSCPIP reduces reliance on emergency services by doing this.
By providing proactive and coordinated strategies that prevent escalation by addressing the person’s needs.
START assessments are used to inform these key areas. (Name at least 2)
Outreach, CSCPIP, Training, Interventions, Disposition Planning
These are the three “A’s” of START service delivery.
Access, Appropriateness, Accountability